Abstract
The research of structural and functional parameters of the prostate gland and the state of hemodynamics in it in case of testicular diseases are important for andrology, urology and gerontology, as even insignificant deviations of these parameters has negatively affect on the reproductive function and performance of male. Despite the considerable number of publications that relating to the prostate gland, their analysis shows that the structural and functional features of the blood vessels and tissue elements of this organ, in the conditions of inguinal hernia, is remained beyond the attention of researchers. However, the contents of a hernial sac in these conditions leads to chronic testicular hypoxia because of the contents of the hernial sac exerts the constant or periodic pressure on the testicular blood vessels, in particular on the wide and thin-walled testicular veins. Venous stagnation in the testicle violates thermoregulation, which is an important factor for the normal course of spermatogenesis and production of testosterone in interstitial endocrinocytes, and the prostate gland is the target for this hormone. Increase the concentration of testosterone in the blood leads to atrophy of the secretory epithelium of the lobules prostate gland and the development of connective tissue in it. Ultrasound and color ultrasound transrectal angiography of the prostate gland has been conducted in men of mature age (first period) with the inguinal hernia lasting of 3-5 years and has been showed a significant increase in peak blood flow (6,34±0,52) cm/sec and up to (2,42±0,31) cm/sec of diastolic blood flow compared to (19,32±3,28) cm/sec and (5,90±0,28) cm/sec on average in control group of male. These hemodynamic disorders were accompanied by an increase of up to (26,5 ± 1,7) cm3 of volume and up to (27,8 ± 1,6) g of mass of the prostate gland, which is markedly larger in comparison with the control. Such changes in parameters are due to the growth of connective tissue elements with a decrease of glandular parenchyma, the ratio between which is 56% versus 46%.
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